Government Pilot Programme Fee and Charges by All Room Class

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(1) Charges on Ward Accommodation Version 1.4 Daily Room Rate Room Rate Standard Semi- Companion Bed (per head) General Ward - Room 2,500-45,000 350 General Ward - Standard / Semi- Room 4-6 Bedded Room: 600-800 14 Bedded Room: 500 900-1,200 1,800 (1 Bedded Room) 200 Paediatrics Ward 4 Bedded Room: 1,100 2 Bedded Room: 1,350 2,600 1 Bed Included Paediatrics Ward - Infection Control Room Nursery Day Therapy 1,100 + 650 Daily Infection Control Care Charge 700 / 1,100 () (Subject to the type of Maternity Package) 480 (6 hours stay) 1 Bed Included ICU 2,500 HDU 1,800 Isolation - Room Isolation - Standard / Semi- Room Room Charges + 750 Room Charges + 1,380 Room Charges + 1,380 200 350 Special Room Arrangement Semi- Room Charges + 1,000 * An "Admission Service Fee" of HK300 will be charged to each patient upon admission. The Admission Service includes the registration procedures, measurement of body weight, vital signs observation (blood pressure / pulse / body temperature), urine test (sugar / albumin), assessment, risk and infectious status screening (if required). Room Type Document Type Permanent HK Residents Non-Permanent HK Residents Holders of Travel Document Deposit ICU / HDU 20,000 30,000 100,000 Room 20,000 30,000 100,000 Semi- Room 6,000 30,000 80,000 Standard Room 6,000 30,000 60,000 Nursery 6,000 30,000 60,000 Day Therapy 3,000 3,000 3,000 or based on the amount of Financial Estimation (if available), whichever is higher P. 1 http://www.union.org

(2) Operating Theatre Charges Version 1.4 Chargable Items OT Minimum Charges provided by Classification Standard / Semi- Day Surgery Centre Minor Operation (LA) 3,000 5,250 2,470 Minor Operation (GA) 4,600 8,050 3,700 Intermediate Operation 7,300 12,775 5,600 Major Operation 9,800 17,150 Ultra Major Operation 13,900 24,325 P. 2 http://www.union.org

(3) Charges for Common Nursing Procedures Version 1.4 Including nursing care procedures, medical consumables and antiseptic medication Chargable Items For Patient over 12 years old Admission Service Standard / Semi- Including registration procedures, measurement of body weight, urine test (sugar / albumin), vital signs observation (blood pressure / pulse / body temperature), assessment, risk and infectious status screening (if required) 300 525 Dressing - Simple (per service) 360 630 Dressing - Moderate (per service) 450 788 Dressing - Complicated (per service) 550 963 Insertion of Nasogastric Tube (per service) 380 665 Insertion of Foley Catheter (per service) 540 945 Naso-gastric Feeding & Naso-gastric Set (per day) 540 945 Stoma Care (per service, including change of Stoma bag) Care of Blood Transfusion (per bag, excluding infusion services, blood transfusion set and normal saline) 350 613 160 280 P. 3 http://www.union.org

(4) Charges for Out-patient and / or Specialist Clinics Consultations Version 1.4 Chargable Items Emergency Medicine Centre Monday to Fridays 09:00-18:00 330 270 18:00-20:00 420 370 20:00-09:00 600 530 Saturdays 09:00-13:00 390 330 13:00-18:00 500 440 18:00-09:00 600 530 Sunday and Public Holidays 09:00-18:00 500 440 18:00-09:00 600 530 Long Holiday Eve 18:00-09:00 700 610 Long Holiday 09:00-18:00 500 440 18:00-09:00 700 610 Specialties Services Price Price for Elderly aged above 60 Registration Fee 260 Consultation Fee (Depends on Consultation Sessions) 700-2,000 P. 4 http://www.union.org

(5) Charges for Investigation and Version 1.4 (i) Radiological and Imaging Services* General X-ray Chest 240 288 360 KUB 240 288 360 Ultrasound Thyroid 1,000 1,200 1,500 Abdomen & Pelvis 3,200 3,840 4,800 Computed Tomography (CT Scan) Brain (Plain) 2,000 2,600 3,000 Abdomen & Pelvis (Plain & Contrast) 7,800 10,140 11,700 Mammography Mammogram - Bilateral 1,300 1,560 1,950 Mammogram + U/S Breast 2,200 2,640 3,300 Magnetic Resonance Imaging (MRI) Brain 5,500 7,150 8,250 Abdomen & Pelvis (with contrast) 16,500 21,450 24,750 Lithotripsy Standard / Semi- ESWL of single stone in the same side (1st Treatment) Fluoroscopic Examination 10,000 12,000 15,000 Hysterosalpingogram (HSG) 2,300 2,760 3,450 Positron Emission Tomography (PET/CT) Whole Body Trunk (with contrast) 16,800 16,800 25,200 Whole Body Trunk with Brain (with contrast) 18,000 18,000 27,000 * Surcharge would be applied for Non-Office hours P. 5 http://www.union.org

(5) Charges for Investigation and Version 1.4 (ii) Pathology Services Biochemistry Cardiac Enzymes 725 870 1,269 576 Creatine Kinase, CK 260 312 455 230 Troponin T 705 846 1,234 650 Liver Function 590 708 1,033 495 Renal Function 580 696 1,015 486 Lipids Profile (Fasting) 825 990 1,444 675 Others (Biochem) Glucose 160 192 280 145 Hemoglobin A1c 435 522 761 360 Uric Acid 160 192 280 145 Thyroid Function Standard Semi- Thyroxine, T4 415 498 726 342 Free thyroxine, FT4 455 546 796 405 Thyroid stimulating hormone, Thyrotropin TSH 505 606 884 405 Endocrinology Follicle-Stimulating Hormone (FSH) 545 654 954 470 Luteinizing Hormone (LH) 545 654 954 450 Prolactin 680 816 1,190 567 Progesterone 620 744 1,085 558 Testosterone 625 750 1,094 558 Estradiol 570 684 998 550 Human chorionic gonadotropin + the β- subunit 600 720 1,050 504 Hematology Complete Blood Count, CBC 170 204 298 138 Erythrocyte Sedimentation Rate, ESR 105 126 184 85 Activated Partial Thromboplastin Time, APTT 210 252 368 200 Prothrombin Time PT, INR 215 258 376 200 P. 6 http://www.union.org

(5) Charges for Investigation and Version 1.4 (ii) Pathology Services Hematology Standard Semi- Complete Blood Count, CBC 170 204 298 138 Erythrocyte Sedimentation Rate, ESR 105 126 184 85 Activated Partial Thromboplastin Time, APTT 210 252 368 200 Prothrombin Time PT, INR 215 258 376 200 Blood Transfusion Service Blood grouping 220 264 385 190 Antibodies Screening Tests 425 510 744 425 Administration & Handling Fee 110 132 193 110 Blood & Blood Products (1) 62 up 75 up 109 up 62 up Tumor Markers α1-fetoprotein, AFP 485 582 849 396 Carcinoembryonic antigen, CEA 750 900 1,313 626 Prostate-specific antigen total, PSA 665 798 1,164 599 Hepatitis Anti-Hepatitis A virus antibodies total, HAVAb 705 846 1,234 585 Anti-hepatitis B surface antigen antibodies, Anti-HBs 485 582 849 396 Hepatitis B surface antigen HBsAg 535 642 936 387 Anti-Hepatitis C virus antibodies HCVAb 910 1,092 1,593 800 Urine & Stool Occult Blood 142 170 249 116 Pregnancy Test 240 288 420 220 Stool Routine (Incl. Ova & cyst) 163 196 285 130 Urine Routine 145 174 254 120 Bacteriology Culture & Sensitivity Test for urine / stool/ sputum 485 582 849 420 P. 7 http://www.union.org

(5) Charges for Investigation and Version 1.4 (ii) Pathology Services Miscellaneous Standard Semi- Mono Layer pap smear 400 480 700 290 Remarks: (1) Blood & blood products are charges according to Hong Kong Red Cross charges fees, no surcharge nor discount for these items P. 8 http://www.union.org

(5) Charges for Investigation and Version 1.4 (iii) Physiotherapy* Standard / Semi- Initial Consultation 220 385 220 Physiotherapy: 3 modalities/procedures or less 700 1,225 700 Physiotherapy: more than 3 modalities/procedures or chest condition 880 1,540 880 Brief consultation and physiotherapy 450 788 450 Rehabilitation 1,100 1,925 1,110 Extra-corporeal shock wave therapy 700 1,225 700 * 100% Inpatient Surcharge would be applied for Non-Office hours/ Sunday/ Public Holiday P.9 http://www.union.org

(5) Charges for Investigation and Version 1.4 (iv) Other Allied Health Services Dietetic services Pediatrics Adult Pediatrics Adult First consultation fee 800 650 1,400 1,140 500 First consultation fee (referral case) 750 600 1,315 1,050 450 Follow up fee 550 450 965 790 300 Audiology services Standard / Semi- Standard Hearing Assessment (Adult) PTA, Tympanometry 1,330 2,330 950 Pure Tone Audiometry (Adult) PTA 910 1,595 650 Newborn Hearing Screening Battery AABR & Tympanometry (0-2 years old) 1,680 2,940 1,200 Automated Auditory Brainstem Response (AABR) (0-2 years old) 1,260 2,205 900 Play Audiometry (Paed) (2-6 years old) 1,260 2,205 900 (5) Charges for Investigation and Standard / Semi- (v) Other Investigative and Haemodialysis services* Haemodialysis for Fistula / Graft 2,260 up 3,955 up 2,260 up Haemodialysis for Catheter 2,620 up 4,585 up 2,620 up Plasmapheresis 8,600 up 15,050 up * Charges will be different according to different modalities of haemodialysis and dialyzer is being used 8,600 up P. 10 http://www.union.org

(6) Charges for medical report and photocopies of medical records* Version 1.4 Type Of Data Volume Charges Administration Fee (Per Request) Duplicate Medical Records Per page 5 150 Duplicate Medical Imaging Film Per film 110 150 CD (First Application) Per CD Nil Nil CD (Subsequence Application) Per CD 200 150 Medical Report Insurance Company Per Request 1,200 150 Patient Per Request To be confirmed by Doctor 150 Others Per Request To be confirmed by Doctor 150 *The above charges applied to all room classes P. 11 http://www.union.org

(7) Contact Us Version 1.4 Useful Contacts Telephone Email Booking & Enquiry (852) 2608 3388 union@union.org Customer Service Hotline (852) 2608 3333 csa_cc@union.org P. 12 http://www.union.org